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© Philips - Confidential
Niko Elomaa, Software Group Lead
Philips Precision Diagnosis Solutions
Radiation Oncology Helsinki
Philips Oncology Solutions
Philips Radiation Oncology
© Philips - Confidential
Philips R&D Center of Excellence in Finland
Global responsibility for Magnetic Resonance in Radiation Oncology and for
improvement of workflows
Business Unit Radiation Oncology
• MR for MR-Linac, MR for RT simulation, MR for OR
• SW, HW, Sequence, Algorithm development
• Strong international collaborator network
• Builds on legacy of 41 years of MR R&D in Finland
• Intellispace Radiation Oncology – Software to
accelerate time from referral to the start of
treatment
• Care pathway and workflow management solutions
© Philips - Confidential
Products by Philips Radiation Oncology Helsinki
Ingenia MR-RT
MR-Only simulation MR-RT and MR-linac
Ingenia MR-OR Intellispace Radiation Oncology
MRCAT Prostate + AutoContouring
MR in Radiotherapy
© Philips - Confidential
What is required?
• High geometric
accuracy in imaging and
QA tools for evaluation
• Imaging in the
treatment position
• MR protocols optimized
for treatment planning
• Fit in the existing
radiotherapy workflow
Image courtesy of William Beaumont Health System
Unique requirements
Realizing the benefits of MRI in the radiotherapy workflow
© Philips - Confidential
Immobilization and positioning
Direct mounting of Type-STM
thermoplastic masks and
Silverman head rest
Orfit MRI-P solution for brain,
head and neck. Designed for
Ingenia MR-RT.
CIVCO® baseplate for head,
neck and shoulder
AccuFixTM Head & Neck fixation
device with thermoplastic head
mask
A wide range of options to fit existing workflows
7
Use the Indexing bars to attach baseplates and immobilization devices directly to the MR-RT
CouchTop for a variety of brain and head and neck applications
© Philips - Confidential
MR Only simulation
© Philips - Confidential
MR-only radiotherapy
Experience the true potential and drive the impact of MRI
• Benefit from MRI’s superior soft-
tissue contrast
• Eliminate tedious and error-
prone MR-CT registration
• Lower costs and make MR
simulation more affordable
• Simplify workflows and reduce
patient burden
© Philips - Confidential
Elekta Unity
Elekta Unity – Two worlds, one future
1.5T Philips MR integrated with Elekta Linear Accelerator
• Philips partnering with
Elekta by providing the MR
technology to Elekta Unity
system
https://www.elekta.com/dam/jcr:3883d2d4-d9e7-449d-84e2-815532681287/Elekta-Unity-Brochure.pdf
© Philips - Confidential
Intellispace Radiation Oncology
© Philips - Confidential
© Philips - Confidential
Philips Radiation Oncology Solutions
IntelliSpace Radiation Oncology
© Philips - Confidential
Current challenges in Radiation Oncology
Uncertainties and inefficiencies
*Courtesy of Sasa Mutic, Washington University School of Medicine, St. Louis, USA
Radiotherapy processes can be fragmented and
inefficient, with uncertainties along the way
impacting quality and throughput time.
Overall workflow automation and
process optimization in Radiotherapy
can be largely improved.
© Philips - Confidential
5% increased mortality risk observed with
every week of delay in treatment 4
Time from first patient consult to treatment varies
widely, typically 80-120 days 1
First
symptoms
GP
visit(s)
Specialist
visit(s)
Treating
physician
visit(s)
Start of
treatment
Treatment
completed
33-68 days (median) in
US 5-center study 2
138 days (median) in
Canadian single center study 3
29 31 33 35
50 53 56 59
0
20
40
60
80
2 weeks 4 weeks 6 weeks 8 weeks
5-year mortality (%) versus
time from diagnosis to treatment
Patient age 30 years Patient age 60 years
Example throughput times
Delayed treatments result in sub-optimal
outcomes: lung cancer example
1 Medtronic 2nd European Lung Cancer Management Summit; Nov 29th and 30th 2017, Lisbon. 2 RM Vidaver et al., American Society of Clinical Oncology Volume 12 /
Issue 6 / June 2016. 3 PM Ellis et al., Journal of Thoracic Disease, Vol 3, No 3, September 2011. 4 NF Kanarek et al., Am J Med. 2014 May ; 127(5): 443–449:
© Philips - Confidential
Introducing: IntelliSpace Radiation Oncology
An intelligent patient management solution
16
Manage complexity
Create a harmonized way of working and transparent
communications
Improve efficiency
Deeply integrate applications, maintaining data integrity, and
automated workflows
Enable operational excellence
Mitigate risk, ensure traceability of data, and discover actionable insights
Accelerating time from referral of the patient to start treatment
© Philips - Confidential
Provides an overview of all
patients and tracks where
patients are in the workflow
Comprehensive view of department tasks and capacity
Departmental tracker
© Philips - Confidential
Clear view of tasks at hand
User-based Worklist
18
The Worklist displays the list of
tasks assigned to a user or user
group
© Philips - Confidential
Guide the user with
task-specific information based on
physician intent
Guidance for patient-specific tasks
Task pages
© Philips - Confidential
Harmonized way of working
Task pages
Before executing
each task, the user is fully
informed about the patient
status
© Philips - Confidential
Connected applications
Pinnacle
MIM
• Accessible via OpenText ETX
• Automatic DICOM routing
For MIM:
• Context-sensitive launching of contouring information from
the task pages, with correct and relevant data pre-loaded
• Contour exchange
• Automatic triggering of pre-configured workflows, such as
Auto-Contouring
External applications
• Navigation to key applications through the
application launcher
• Supports manual workflow
Easy access and navigation to key applications
Open, vendor agnostic, platform
Application launcher
Pinnacle
The responsibility for launching external applications with ETX is with the Health Care Provider
The Application launcher enables the user to launch
applications through a DICOM connection and/or an
ETX connection
© Philips - Confidential
Current challenges in Radiation Oncology
*Courtesy of Sasa Mutic, Washington University School of Medicine, St. Louis, USA
Radiotherapy processes can be fragmented and
inefficient, with uncertainties along the way
impacting quality and throughput time.
Overall workflow automation and
process optimization in Radiotherapy
can be largely improved.
© Philips - Confidential
IntelliSpace Radiation Oncology IT platform
23
Radiation Oncology Applications
Designed to accelerate time from patient referral to start
of treatment by helping to manage complexity, improve
efficiency and enable operational excellence.
Philips Platform
IntelliSpace Radiation
Oncology
Future Radiation
Oncology Applications
IntelliSpace Radiation
Oncology User
Access from
internet browser
Pinnacle User
IntelliSpace Radiation Oncology
3rd party applications
Access Point
OpenText ETX
Thank you!
Q+A
24
apidays LIVE Helsinki & North - Enhancing radiation oncology workflows with API:s and 3rd party applications by Niko Elomaa, Philips Healthcare

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apidays LIVE Helsinki & North - Enhancing radiation oncology workflows with API:s and 3rd party applications by Niko Elomaa, Philips Healthcare

  • 1. © Philips - Confidential Niko Elomaa, Software Group Lead Philips Precision Diagnosis Solutions Radiation Oncology Helsinki Philips Oncology Solutions
  • 3. © Philips - Confidential Philips R&D Center of Excellence in Finland Global responsibility for Magnetic Resonance in Radiation Oncology and for improvement of workflows Business Unit Radiation Oncology • MR for MR-Linac, MR for RT simulation, MR for OR • SW, HW, Sequence, Algorithm development • Strong international collaborator network • Builds on legacy of 41 years of MR R&D in Finland • Intellispace Radiation Oncology – Software to accelerate time from referral to the start of treatment • Care pathway and workflow management solutions
  • 4. © Philips - Confidential Products by Philips Radiation Oncology Helsinki Ingenia MR-RT MR-Only simulation MR-RT and MR-linac Ingenia MR-OR Intellispace Radiation Oncology MRCAT Prostate + AutoContouring
  • 6. © Philips - Confidential What is required? • High geometric accuracy in imaging and QA tools for evaluation • Imaging in the treatment position • MR protocols optimized for treatment planning • Fit in the existing radiotherapy workflow Image courtesy of William Beaumont Health System Unique requirements Realizing the benefits of MRI in the radiotherapy workflow
  • 7. © Philips - Confidential Immobilization and positioning Direct mounting of Type-STM thermoplastic masks and Silverman head rest Orfit MRI-P solution for brain, head and neck. Designed for Ingenia MR-RT. CIVCO® baseplate for head, neck and shoulder AccuFixTM Head & Neck fixation device with thermoplastic head mask A wide range of options to fit existing workflows 7 Use the Indexing bars to attach baseplates and immobilization devices directly to the MR-RT CouchTop for a variety of brain and head and neck applications
  • 8. © Philips - Confidential MR Only simulation
  • 9. © Philips - Confidential MR-only radiotherapy Experience the true potential and drive the impact of MRI • Benefit from MRI’s superior soft- tissue contrast • Eliminate tedious and error- prone MR-CT registration • Lower costs and make MR simulation more affordable • Simplify workflows and reduce patient burden
  • 10. © Philips - Confidential Elekta Unity
  • 11. Elekta Unity – Two worlds, one future 1.5T Philips MR integrated with Elekta Linear Accelerator • Philips partnering with Elekta by providing the MR technology to Elekta Unity system https://www.elekta.com/dam/jcr:3883d2d4-d9e7-449d-84e2-815532681287/Elekta-Unity-Brochure.pdf
  • 12. © Philips - Confidential Intellispace Radiation Oncology
  • 13. © Philips - Confidential © Philips - Confidential Philips Radiation Oncology Solutions IntelliSpace Radiation Oncology
  • 14. © Philips - Confidential Current challenges in Radiation Oncology Uncertainties and inefficiencies *Courtesy of Sasa Mutic, Washington University School of Medicine, St. Louis, USA Radiotherapy processes can be fragmented and inefficient, with uncertainties along the way impacting quality and throughput time. Overall workflow automation and process optimization in Radiotherapy can be largely improved.
  • 15. © Philips - Confidential 5% increased mortality risk observed with every week of delay in treatment 4 Time from first patient consult to treatment varies widely, typically 80-120 days 1 First symptoms GP visit(s) Specialist visit(s) Treating physician visit(s) Start of treatment Treatment completed 33-68 days (median) in US 5-center study 2 138 days (median) in Canadian single center study 3 29 31 33 35 50 53 56 59 0 20 40 60 80 2 weeks 4 weeks 6 weeks 8 weeks 5-year mortality (%) versus time from diagnosis to treatment Patient age 30 years Patient age 60 years Example throughput times Delayed treatments result in sub-optimal outcomes: lung cancer example 1 Medtronic 2nd European Lung Cancer Management Summit; Nov 29th and 30th 2017, Lisbon. 2 RM Vidaver et al., American Society of Clinical Oncology Volume 12 / Issue 6 / June 2016. 3 PM Ellis et al., Journal of Thoracic Disease, Vol 3, No 3, September 2011. 4 NF Kanarek et al., Am J Med. 2014 May ; 127(5): 443–449:
  • 16. © Philips - Confidential Introducing: IntelliSpace Radiation Oncology An intelligent patient management solution 16 Manage complexity Create a harmonized way of working and transparent communications Improve efficiency Deeply integrate applications, maintaining data integrity, and automated workflows Enable operational excellence Mitigate risk, ensure traceability of data, and discover actionable insights Accelerating time from referral of the patient to start treatment
  • 17. © Philips - Confidential Provides an overview of all patients and tracks where patients are in the workflow Comprehensive view of department tasks and capacity Departmental tracker
  • 18. © Philips - Confidential Clear view of tasks at hand User-based Worklist 18 The Worklist displays the list of tasks assigned to a user or user group
  • 19. © Philips - Confidential Guide the user with task-specific information based on physician intent Guidance for patient-specific tasks Task pages
  • 20. © Philips - Confidential Harmonized way of working Task pages Before executing each task, the user is fully informed about the patient status
  • 21. © Philips - Confidential Connected applications Pinnacle MIM • Accessible via OpenText ETX • Automatic DICOM routing For MIM: • Context-sensitive launching of contouring information from the task pages, with correct and relevant data pre-loaded • Contour exchange • Automatic triggering of pre-configured workflows, such as Auto-Contouring External applications • Navigation to key applications through the application launcher • Supports manual workflow Easy access and navigation to key applications Open, vendor agnostic, platform Application launcher Pinnacle The responsibility for launching external applications with ETX is with the Health Care Provider The Application launcher enables the user to launch applications through a DICOM connection and/or an ETX connection
  • 22. © Philips - Confidential Current challenges in Radiation Oncology *Courtesy of Sasa Mutic, Washington University School of Medicine, St. Louis, USA Radiotherapy processes can be fragmented and inefficient, with uncertainties along the way impacting quality and throughput time. Overall workflow automation and process optimization in Radiotherapy can be largely improved.
  • 23. © Philips - Confidential IntelliSpace Radiation Oncology IT platform 23 Radiation Oncology Applications Designed to accelerate time from patient referral to start of treatment by helping to manage complexity, improve efficiency and enable operational excellence. Philips Platform IntelliSpace Radiation Oncology Future Radiation Oncology Applications IntelliSpace Radiation Oncology User Access from internet browser Pinnacle User IntelliSpace Radiation Oncology 3rd party applications Access Point OpenText ETX

Notas del editor

  1. Diagnostic MR images often do not meet RT requirements MR benefit over CT! Image quality, resolution, contrast in soft tissue Skip registration step + CT imaging
  2. Sorts patients based on urgency and start of treatment deadline Shows the overall workload of the department
  3. Enables prioritization of tasks based on urgency and planned start of treatment Direct launch of task page and task-related applications Access to patient-specific communication Access to completed tasks repository
  4. Shown in a timelinefashion, this information includes tasks previously completed, any changes to the default protocol, safety warnings, and notes related to each task. Before executing each task, the user is fully informed about the patient status. Capture patient information from HIS/EMR Display patient-specific information, safety warnings and notes Alert on deviations from default protocol Offers the ability to reject previously performed tasks, moving the workflow back to rejected tasks
  5. Shown in a timeline fashion, this information includes tasks previously completed, any changes to the default protocol, safety warnings, and notes related to each task. Task pages can be fully customized Tasks are automatically handed over from one user and workflow step to another to help reduce documentation burden, data loss, errors and handover delays
  6. “For customer maximum 50% of solutions typically from one vendor”
  7. Radiotherapy processes can be fragmented and inefficient, with uncertainties along the way impacting quality and throughput time. Overall workflow automation and process optimization in Radiotherapy can be largely improved.